MARLETTE COMMUNITY HOSPITAL LONG TERM CARE UNIT

The information listed below provides an in-depth look into the type and quality of care offered at Marlette Community Hospital Long Term Care Unit. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MARLETTE COMMUNITY HOSPITAL LONG TERM CARE UNIT
2770 MAIN ST
MARLETTE, MI 48453
(989) 635-4000

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 40
  • Certified Beds: 43

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Sandusky | Mayville | Caro

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Special Care High". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Marlette Community Hospital Long Term Care Unit. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-516.8%
Total Percent:16.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-168.9%
ADL Index Range: 6-107.3%
ADL Index Range: 0-58.9%
Total Percent:25.1%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
6.7%
Total Percent:6.7%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
10.6%
ADL Index Range: 15-16
- No Signs of depression
26.8%
ADL Index Range: 11-14
- Signs of depression
8.9%
Total Percent:46.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- No Signs of depression
3.4%
ADL Index Range: 0-1
- No Signs of depression
1.7%
Total Percent:5.0%
 

Rating Details For Marlette Community Hospital Long Term Care Unit

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours59 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours35 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 29 Minutes2 Hours and 36 Minutes
Total Licensed Nurse Hours1 Hour and 34 Minutes1 Hour and 53 Minutes
Total Nurse Hours5 Hours and 3 Minutes4 Hours and 29 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Michigan are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMichigan Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight12%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious27%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder70%52%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%10%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased4%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%21%
Percent of Short-Stay Residents Who Have Pressure Sores2%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/15/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/31/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/07/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/07/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/31/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/18/2010
  • Correction Date: 10/04/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/18/2010
  • Correction Date: 10/04/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/15/2011
  • Correction Date: 06/03/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/15/2011
  • Correction Date: 06/03/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/15/2011
  • Correction Date: 06/05/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/07/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/07/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/18/2010
  • Correction Date: 10/04/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/31/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/15/2011
  • Correction Date: 06/03/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/15/2011
  • Correction Date: 06/03/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/15/2011
  • Correction Date: 06/05/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/07/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/31/2010

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/07/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/31/2010
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 04/15/2011
  • Correction Date: 06/03/2011
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/15/2011
  • Correction Date: 06/03/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/15/2011
  • Correction Date: 06/03/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Denial of Payment for New Admission (DPNA)06/18/2010-

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Marlette Community Hospital Long Term Care Unit had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/15/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/15/2011
  • Correction Date: 04/29/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/01/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 06/18/2010
  • Correction Date: 08/01/2010
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/19/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/18/2010
  • Correction Date: 06/18/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 08/20/2009
  • Correction Date: 08/27/2009
Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 06/18/2010
  • Correction Date: 06/22/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/19/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/25/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 06/18/2010
  • Correction Date: 06/30/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/15/2011
  • Correction Date: 04/25/2011
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011